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Home My WebLink About01-27-15 Ad Hoc Health Center Construction Minutes MEETING MINUTES AD HOC HEALTH CENTER CONSTRUCTION COMMITTEE January 27, 2015 2:30 PM County Board Room-Government Center County Board Room - 1101 Carmichael Road, Hudson, Wisconsin CALL TO ORDER Chair Peterson called the meeting to order at 2:30 p.m. ROLL CALL Attendee Name Organization Title Status Arrived David Peterson St. Croix County Supervisor Present Agnes Ring St. Croix County Supervisor Present Deb Rasmussen St. Croix County Citizen Present Roy Sjoberg St. Croix County Supervisor Present Daniel Hansen St. Croix County Supervisor Present Judy Achterhof St. Croix County Supervisor Present Shaela Leibfried St. Croix County Supervisor Present Suzanne Van Mele St. Croix County Citizen Present Scottie Ard St. Croix County Citizen Present OTHERS PRESENT: County Board Supervisors Roger Larson and Dave Ostness, County Administrator Pat Thompson, Facilities Director Jim Elsbury, Health & Human Services Director Fred Johnson, Health Center Administrator Sandy Hackenmueller, Human Resource Director Tammy Funk, Information Technology Director John Allegro, Corporation Counsel Scott Cox, Management Analyst Kristen Ziliak, Fiscal Manager Beata Haug and Recording Secretary Monica Lucht. GUESTS PRESENT: Representatives from Horty Elving, Rick Moore and Tu-Anh Johnson. Representatives from Market & Johnson, Jason Plante and Kris Hahn. APPROVAL OF MINUTES 1. Ad Hoc Health Center Construction Committee - Regular Meeting - Dec 30, 2014 2:30 PM Sjoberg requested a few changes to the minutes of December 30, 2015. The spelling of Lester needs to be uniform throughout. On the second page, third paragraph, Lester's full response of "No, not at the present time, but in the foreseeable future, now a surplus of nursing beds" needs to be placed in the minutes. Sjoberg also asked for the correction of 'than' to 'then' in the first paragraph under the Design Process Review agenda item. In the very next sentence, the dollar figure needs to be changed to the correct amount of $15,186,322. His final correction was to remove the apostrophe, or correct the word 'licensure's'. Chair Peterson requested that the reference to the 2025 figure is put back into the minutes. The committee accepted the minutes of December 30, 2015 as amended RESULT: ACCEPTED AS AMENDED PUBLIC COMMENTS None BUSINESS ITEMS 1. Design Process Review Thompson summarized the discussion from last month and where it had left off. The project includes a 50-bed skilled nursing facility, 10-bed dementia crisis stabilization unit and remodel of the existing building into a 40-bed CBRF. Thompson asked the representatives from Horty Elving, Moore and Johnson, to discuss the design options. Moore presented preliminary option #1. He explained the households and the larger shared spaces for families to be able to get together. The dementia crisis stabilization unit was explained and the security that would be required. In the CBRF remodel, there will be common spaces and dining. Most rooms are resident rooms, but some will be made into apartment style rooms. In this preliminary option #1, a separate front entrance to the CBRF has been designed to enter into the lower level/basement coming in at the elevator. Also presented, was a 3D image of a front canopy over the separate CBRF entrance. It was pointed out that only nine beds were shown on the dementia crisis stabilization unit drawing. Moore clarified that the drawing was just missing one and will make the adjustment. Moore explained that CBRF rooms tend to be about 580 to 600 sq. ft., but could be as low as 300 sq. ft. The two upper floors of the existing health center building will be duplicates in design. Discussion continued as to the pros and cons of renovating the existing building into the CBRF versus building new. Moore reviewed a few options, and Market & Johnson staff explained cost differences. Option #5 would create a more residential building. Entry would be from the southeast to take advantage of the easterly views and resolve water issues. Option #7 would include a 20-bed CBRF to be built new with entry from the east. North of the support building would be space for a future 20-bed CBRF. Building new has its advantages, but ultimately will have less square footage than the existing building. Sjoberg asked Market & Johnson representative Hahn, to comment on the option of building the 20-bed CBRF now versus a 20-bed CBRF later. Hackenmueller explained that the difference between 20-beds and 40-beds is $15,500 in revenue available for debt service per year. It could be cheaper to leave the basement in the existing building as is and build a new 20-bed CBRF on top. Hackenmueller explained that the market for the CBRF will likely include many families that require assistance from the State/family care. Health and Human Services Director Fred Johnson added that the Wipfli market study from July 2014 indicates the market doesn't support a 40-bed CBRF without including family care recipients. The market study indicates there are enough CBRF beds in the area for non-family care recipients but not for family care recipients. The County has to accept family care rates per State mandate but the State decides which providers they will contract with. Motion by Ard, 2nd by Hansen to continue with the plan as described with the 40- bed CBRF remodeling project versus a new CBRF. Motion carried, all in favor. Discussion of design features continued. Moore updated the committee on the assessment of some sustainability features to date. Geothermal would add $600,000 to the cost of the project with a 27.1-year payback. Solar hot water heating would initially cost $125,000 with a 20-year payback. Mechanical systems are also being evaluated with input from Focus on Energy. RESULT: DISCUSSED 2. Financial / Budget Report Thompson summarized for the committee that the County Board amended the 2014 budget by $200,000 for project expenditures. The county is on schedule for an initial bond resolution to come before the County Board in April or May. After 90 days, in August or September, there will be a second bonding resolution to accept the actual sale of the bonds after which cash will be available for expenditures of funds. Project expenses will continue to accrue before bonding cash is available, so a 2015 budget amendment will be brought to the Administration Committee to allow for the additional expenditures of dollars prior to bond approval. Hackenmueller addressed questions about the Health Center forecasts. Instead of a compilation, Wipfli will perform an examination forecast. Thompson added that Wipfli provided the financial projections in July 2014 and needs to re-examine the numbers for validation. It’s well worth the cost to show that the funding model is solid. Wipfli needs 30 days to complete the examination. Staff will continue to explore funding options besides bonding as well as sustainability options with the assistance of Focus on Energy. RESULT: DISCUSSED 3. Project Schedule to Date Moore explained that the project schedule has Horty Elving completing the schematic design by Friday, January 30, 2015 and requested an extension to Wednesday, February 4, 2015. Chair Peterson asked if the committee had any objections and none were voiced. RESULT: DISCUSSED 4. Stakeholder Communication Report Hackenmueller updated that department managers are reviewing preliminary designs by February 10, 2015. They are working on a Skilled Facility mock up resident room, which will be located in the basement of the Health Center for people to view and visualize. Moore will bring in his staff, and the room will evolve based on feedback and comments. The general plan review is scheduled for February 19, 2015 with the Ad-Hoc Committee meeting again on February 24, 2015. RESULT: DISCUSSED ANNOUNCEMENTS & CORRESPONDENCE ADJOURN The meeting adjourned at 4:17 p.m. DATE OF NEXT MEETING - FEBRUARY 24, 2015 AT 2:30 PM IN HUDSON